Kidney transplants
Medicare Coverage Information
Overview
Medicare provides comprehensive coverage for kidney transplants for patients with end-stage renal disease. The coverage includes hospital stays, surgical procedures, and necessary immunosuppressive medications under specific conditions.
- Medicare covers kidney transplants for patients with end-stage renal disease
- Coverage includes hospital stays, surgical procedures, and post-transplant care
- Immunosuppressive drugs are covered under Medicare Part B
- Patients must receive transplants at Medicare-certified facilities
- Some out-of-pocket costs may apply depending on specific Medicare plan
- Patients with end-stage renal disease
- Medicare Part A and Part B beneficiaries
- Individuals who meet specific medical criteria for kidney transplantation
- Medicare Part A covers hospital stays for transplant surgery
- Typically, patients pay 20% of Medicare-approved costs after meeting Part B deductible
- Immunosuppressive medications may have separate copayments
- Total out-of-pocket costs can vary based on specific Medicare plan
- Transplant must be medically necessary
- Must be performed at Medicare-approved transplant centers
- Ongoing immunosuppressive drug coverage has time limitations
- Some experimental or non-standard procedures might not be covered
- Consult with your healthcare provider about transplant eligibility
- Verify Medicare coverage with your specific plan administrator
- Contact Medicare at 1-800-MEDICARE for detailed coverage information
- Get pre-authorization for transplant procedure when possible
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare kidney transplantkidney transplant coverageMedicare Part AMedicare Part Bend-stage renal disease
Related Coverage Topics
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